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Home Health Care Serv Q. 1998;17(1):55-72.

Evaluation of the transprofessional model of home health care for HIV/AIDS.

Author information

  • 1Visiting Nurse Foundation, Burbank, CA 91502, USA.

Abstract

OBJECTIVE:

To determine if a Transprofessional care-management approach (experimental group) produces savings in service delivery dollars when compared to a Traditional treatment approach (control group). The care-management approach utilizes an interdisciplinary mix of allied health professionals who adhere to a service delivery protocol based on active, medical, surgical treatment (curative services) as well as on pain, symptoms, and emotional care (palliative services).

DATA SOURCES AND STUDY SETTING:

Data were collected from 549 AIDS patients admitted for medical/surgical home-care services to the Visiting Nurse Association of Los Angeles (VNA-LA). Demographic and disease-specific data were collected from admitting records; service-utilization data were collected from the VNA-LA's computerized data system.

STUDY DESIGN:

Upon admission for home-care services, patients were randomly assigned to an experimental (Transprofessional) or control (Traditional) treatment group. Service levels were comparable.

PRINCIPLE FINDINGS:

Post-test measures indicate an 8 percent reduction in labor delivery costs for an average experimental patient's entire episode of home-care versus for an average control patient's.

CONCLUSIONS:

An integrated model of service delivery, which is based on interdiscriplinary, care-management and blended modalities of service, provides a cost-effective method in the provision of home-care services for terminally ill AIDS patients.

PMID:
10338808
[PubMed - indexed for MEDLINE]
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